Pulmonary embolism after major abdominal surgery in gynecologic oncology.
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Biomedical subjects
Publications and source records attributed to Philip J Balestrieri.
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IMPLICATIONS: The management of parturients with a strong history of allergy to local anesthetics poses significant challenges to the obstetric anesthesiologist. We recommend that when such patients have a strong desire to receive labor analgesia with local anesthetics, they undergo provocative challenge testing with preservative-free bupivacaine performed in labor and delivery with preparations for emergent cesarean delivery after 24-wk gestation.
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